1. Surgical management of a free-floating thrombus in the ascending aorta.
- Author
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Campanile A, Sardone M, Pasquino S, Cagini A, Di Manici G, and Cavallini C
- Subjects
- Aortic Diseases diagnostic imaging, Arterial Occlusive Diseases diagnostic imaging, Cardiopulmonary Bypass, Coronary Angiography, Echocardiography, Three-Dimensional, Echocardiography, Transesophageal, Female, Humans, Middle Aged, Sternotomy, Thrombosis diagnostic imaging, Treatment Outcome, Aortic Diseases surgery, Arterial Occlusive Diseases surgery, Thrombectomy methods, Thrombosis surgery
- Abstract
The ascending aorta is an uncommon site of noninfective thrombus. We describe the case of a 63-year-old woman who was admitted to our department with acute myocardial infarction. Coronary angiography showed occlusion of a small diagonal vessel, likely related to a distal embolization event. A transthoracic echocardiogram revealed a free-floating mass in the proximal ascending aorta. Two-and 3-dimensional transesophageal echocardiography studies were performed, and after a multidisciplinary heart team discussion, surgical removal of the mass was planned and successfully performed through a median sternotomy on cardiopulmonary bypass.
- Published
- 2019
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